NPI | 1073036943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: DE I4-0000097) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AK 123305) |
Enumeration Date | 2017-07-21 |
Last Update Date | 2019-04-16 |